| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,768.47 | $2,004.27 | $2,572.32 | |
Aetna
| Professional | $517.89 | $517.89 | $517.89 | |
Cigna
| Professional | $2,572.32 | $2,572.32 | $2,572.32 | |
HMSA
| Professional | $1,907.92 | $2,244.61 | $2,679.50 | |
Kaiser Permanente
| Professional | $2,143.60 | $2,572.32 | $3,215.40 | |
United
| Professional | $900.31 | $2,572.32 | $3,215.40 | |
University Health Alliance
| Professional | $1,053.68 | $2,893.86 | $4,823.10 |